Araştırma Makalesi
Yıl 2020,
, 152 - 162, 21.07.2020
Öz
Objective: This study was conducted to determine the supportive care needs of individuals diagnosed with cancer.
Method: The descriptive study included 39 patients who were hospitalized in the 14-bed oncology clinic of a state hospital between May and July 2019 and agreed to participate in the study. The study data were obtained by face to face interview technique using the “Personel Information Form” and "James Supportive Care Screening”.
Results: It was found that 30.7% of the patients were diagnosed with GIS cancers, 51.2% were in the 4th stage of the disease, 12.8% had additional physical or mental disorders as well as cancer. 43.6% of the patients stated that the most distressing conditions for them were "the concern about whether there will be improvement" and "the possibility of recurrence of the disease". The mean score of supportive care needs of the patients was detected as 74. It was determined that the patients with the diagnosis of mental disorder had more social/practical problems and cognitive concerns, the total scale score and healthcare decision-making/communication subscale scores were higher, and the patients with the highest score in the spiritual concerns subscale were those in the 60-80 age group.
Conclusions: The supportive care needs of the patients with oncologic diagnosis are focused on lack of information, physical and emotional needs, and the patients experience distress most about the prognosis of the disease. In addition to the diagnosis of cancer, having mental health problems increases the supportive care needs of the patients. It is important for nurses to be aware of the supportive care needs of the patients diagnosed with cancer and to apply individual-specific and patient-centred care approach in terms of meeting the needs of the patients.
Anahtar Kelimeler
Kaynakça
- [1] Australian Government Cancer Australia, 2013 Address: https://canceraustralia.gov.au/system/tdf/publications/pcac-cancer-how-are-you-travelling_504af0263f9c9.pdf?file=1&type=node&id=2846 Retrieved October 29, 2019 [2] Harrison JD, Young JM, Price MA, Butow PN & Solomon MJ. What are the unmet supportive care needs of people with cancer? A systematic review. Supportive Care in Cancer, 2009, 17(8), 1117–1128.[3] Richardson A, Medina J, Brown V, Sitzia J. Patients’ needs assessment in cancer care: a review of assessment tools. Support Care in Cancer ,2007, 15, 1125-1144. [4] Urbaniec OA, Collins K, Denson LA & Whitford HS. Gynecological cancer survivors, Assessment of psychological distress and unmet supportive care needs. Journal of Psychosocial Oncology,2011, 29(5), 534-551.[5] Ream E, Quennell A, Fincham L et al. Supportive care needs of men living with prostate cancer in England: a survey. British Journal of Cancer, 2008, 17, 98(12), 1903-9.[6] Ford E, Catt S, Chalmers A & Fallowfield L. Systematic review of supportive care needs in patients with primary malignant brain tumors. Neuro-Oncology, 2012, 14(4), 392-404.[7] Institute of Medicine. Cancer care for the whole patient: meeting psychosocial concerns. The National Academic Press, Washington DC,2008[8] Miller BE, Pittman B, Strong C. Gynecologic cancer patients’ psychosocial needs and their views on the physician’s role in meeting those needs. International Journal of Gynecological Cancer,2003, 13, 111-119.[9] National Comprehensive Cancer Network, 2012, Address: https://www.nccn.org/patients/resources/life_with_cancer/distress.aspx Retrieved November 1, 2019 [10] Giraldi T, De Vanna M, Malagoli M et al. Mental adaptation to cancer: depression and blood platelet monoamineoxidase activity in breast cancer patients. AnticancerResearch; 2007, May-Jun. 27 (3b). [11] Yıldırım KN, Kaçmaz N, Özkan M. İleri evre kanser hastalarının karşılanmamış gereksinimleri. Psikiyatri Hemşireliği Dergisi;2013, 4(3), 153-8.[12] National Cancer Nursing Education Project, 2015, Address:http://edcan.org.au/assets/edcan/files/cancer-care-coordinator-position-statement_final-endorsed-by-council_161115_cnsa-logo.pdf Retrieved October 29, 2019[13] Multionational association of supportive care in cancer Address:https://www.mascc.org/assets/GuidelinesTools/guidelines_mucositis_turkish.pdffile:///C:/Users/a/Downloads/23-1816-1-PB.pdf Retrieved October 29, 2019[14] Rankin NM, Barron JA, Lane LG, Mason CA, Sinclair S, Bishop JF Psychosocialoncologyservices in New South Wales. AustHealthRev, 2011, 35:156–163 [15] Gardner RB. A holistic assessment of the perceived supportive care needs of cancer patients during treatment. University of New Orleans Theses and Dissertation, 2008, Paper 823.[16] Howell D, Mayo S, Currie S, Jones G, Boyle M. et al. Psychosocial health care needs assessment of adult cancer patients: a consensus-based guideline. Support Care Cancer, 2012, 20(12), 3343-54.[17] Gregorio S, Porensky E, Minotti M, Brown S, Janet S. et al. The James supportive care screening: İntegrating science and practice to meet the NCCN guidelines for distress management at a comprehensive cancer center. Psychooncology ; 2013, 22(9), 1-17.[18] Cancer Australia, Clinical Best Practice Address:https://canceraustralia.gov.au/clinical-best-practice/cancer learning/communication-skills-training Retrieved October 29, 2019[19] Steele R, & Fitch M I. Supportive care needs of women with gynecologic cancer. Cancer Nursing,2008, 31(4), 284-291.[20] Maguire R, Papadopoulou C, Kotronoulas G, Simpson MF, McPhelim J, et al. A systematic review of supportive care needs of people living with lung cancer. European Journal of Oncology Nursing,2013, 17, 449-64.[21] Agecare, England Address: http://www.agecare.org/publications.asp Retrieved October 29, 2019[22] Polikandrioti M, Ntokou M. Needs of hospitalized patients. Health Scıence Journal, 2011,Volume 5, Issue 1, 15-22.[23] Işık I. Meme kanseri hastalarında tedavi sonrası dönemde gelişen psikososyal sorunlar ve destekleyici hemşirelik girişimleri, Hemşirelikte Eğitim Ve Araştırma Dergisi 2014;11 (3), 58-64.[24] Demirkol H, Çam MO . Kanser hastalarında James destekleyici bakım gereksinimlerini belirleme ölçeği’nin geçerlik ve güvenirlik çalışması, 2016, Ege Üniversitesi Sağlık Bilimleri Enstitüsü, Psikiyatri Hemşireliği Programı, Yüksek Lisans Tezi.[25] Miniotti M, Bassino S, Fanchini L, Ritorto G, & Leombruni P. Supportive care needs, quality of life and psychological morbidity of advanced colorectal cancer patients. European Journal of Oncology Nursing,2019, 43, 101668.[26] World Health Organization, Address: https://www.who.int/cancer/PRGlobocanFinal.pdf Retrieved October 29, 2019[27] Sobotko L. Klinik Nütrisyonun Temelleri Dördüncü Baskı (H.Gündoğdu Çev.Ed). Kanser hastalarında nütrisyonel destek ve kanser kaşeksisi. Ankara: Bayt Bilimsel Yayınlar, 2013:573-591.[28] Arends J, Bachmann P, Baracos V. ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017, 36:11-48. [29] Olsson C, Berglund AL, Larsson M, Athlin E. Patient’s sexuality – a neglected area of cancer nursing. European Journal of Oncology Nursing , 2012, 16, 426-31.[30] Moreira EDJ, Glasser DB, Gingell C.Sexual activity, sexual dysfunction and associated help-seeking behaviours in middle-aged and older adults in Spain: a population survey. World J Urol. 2005, 23: 422-429.[31] Pınar G. Kanser tedavisi alan hastalarda cinsel disfonksiyon ve danışmanlığa ilişkin hemşirelik yaklaşımları, Gülhane Tıp Derg. 2010, 52: 241-247. [32] Bernardes CM, Diaz A, Valery PC, Sabesan S, Baxi S. Unmet supportive care needs among Indigenous cancer patients across Australia. Rural and Remote Health; 2019, 19: 4660.[33] Ng R, Verkooijen HM, Ooi L L, & Koh WP. Unmet psychosocial needs among cancer patients undergoing ambulatory care in Singapore. Supportive Care in Cancer,2011, 20(5), 1049–1056. [34] Mawardika T, Afiyanti Y, Rahmah H. Gynecological cancer inpatients need more supportive nursing care than outpatients: a comparative study. BMC Nurs. 2019, 16;18(Suppl 1):28.[35] Hui D. Definition of supportive care: does the semantic matter? Curr. Opin. Oncol. 2014, 26, 372–379[36] Herschbach P, Book K, Brandl T. et al Psychological distress in cancer patients assessed with an expert rating scale. British Journal of Cancer, 2008, 99(1), 37-43.[37] Aranda S, Schofield P, Weih L. et al. Mapping the quality of life and unmet needs of urban women with metastatic breast cancer. Eur J Cancer Care (Engl),2005, 14:211-22.[38] Boyes AW, Girgis A, D'Este C, Zucca AC. Prevalence and correlates of cancer survivors' supportive care needs 6 months after diagnosis: a population-based crosssectional study. BMC Canc.2012, 12, 150.[39] Yi M, Park K, Park YE. Psychosocial needs of low-income people with cancer in Korea. European Journal of Oncology Nursing, 2014, 18, 549- 56.[40] Foster C, Wright D, Hill H, Hopkinson J, Roffe L. Psychosocial implications of living 5 years or more following a cancer diagnosis: a systematic review of the research evidence. Eur J Cancer Care ,2009, 18(3):223–47.[41] Mohammadzadeh Nimekari M, Saei Ghare Naz M, Ashouri Taziani Y. Correlation between Supportive Care Needs of Women with Breast Cancer and Quality of Life of their Family Caregivers. Int J Community Based Nurs Midwifery.2019, 7(4):300-308. [42] TC Sağlık Bakanlığı Tedavi Hizmetleri Genel Müdürlüğü. Türkiye Onkoloji Hizmetleri Yeniden Yapılanma Programı 2010- 2023. Ankara, T.C. Sağlık Bakanlığı, 2010[43] Braamse AM, van Turenhout ST, Terhaar Sive Droste JS. et al. Factors associated with anxiety and depressive symptoms in colorectal cancer survivors. Eur. J. Gastroenterol. Hepatol.2016, 28, 831–835
Yıl 2020,
, 152 - 162, 21.07.2020
Öz
Amaç: Bu çalışma kanser tanısı almış bireylerin destekleyici bakım gereksinimlerini belirlemek amacıyla yapıldı.
Yöntem: Tanımlayıcı özelikteki araştırmaya, Mayıs-Temmuz 2019 tarihleri arasında, bir devlet hastanesinin 14 yataklı onkoloji kliniğinde yatmakta olan ve araştırmaya katılmayı kabul eden 39 hasta alındı. Araştırma verileri “Hasta Tanıtım Formu” ve “James Destekleyici Bakım Gereksinimlerini Belirleme Ölçeği” kullanılarak, yüz yüze görüşme tekniği ile elde edildi.
Bulgular: Hastaların % 30.7’sinde GİS kanserleri tanısın olduğu, %51.2’sinin hastalığın 4. evresinde olduğu, %12.8’inin kanser tanısı yanı sıra ek bir fiziksel ya da ruhsal hastalığa sahip olduğu saptandı. Hastaların %43.5’i kendilerinde en fazla distres/sıkıntı yaratan durumun “iyileşme olup olmayacağı endişesi” ve “hastalığın tekrarlama olasılığı” olduğunu ifade etti. Hastaların destekleyici bakım gereksinimi ölçek puanı ortalaması 74 olarak belirlendi. Ruhsal hastalık tanısı olan hastalarının sosyal ve bilişsel sorunları daha çok yaşadıkları, toplam ölçek puanı ve sağlık sorunları alt boyut puanlarının daha yüksek olduğu, manevi-dini konularla ilgili alt boyutta en yüksek puana sahip hastaların 60-80 yaş grubundaki hastalar olduğu belirlendi.
Sonuç: Onkolojik tanıya sahip hastaların destekleyici bakım gereksinimleri bilgi eksikliği, fiziksel ve duygusal gereksinimler noktasında yoğunlaşmakta olup, hastalar en fazla hastalığın prognozu hakkında distres yaşamaktadır. Kanser tanısına ek olarak ruhsal sağlık sorununa sahip olmak, hastaların destekleyici bakım gereksinimlerini arttırmaktadır. Hemşirelerin, kanser tanısı olan hastaların destekleyici bakım gereksinimlerinin farkında olarak, bireye özgü ve hasta merkezli bakım anlayışını uygulamaları hasta gereksinimlerinin karşılanması açısından önemlidir.
Kaynakça
- [1] Australian Government Cancer Australia, 2013 Address: https://canceraustralia.gov.au/system/tdf/publications/pcac-cancer-how-are-you-travelling_504af0263f9c9.pdf?file=1&type=node&id=2846 Retrieved October 29, 2019 [2] Harrison JD, Young JM, Price MA, Butow PN & Solomon MJ. What are the unmet supportive care needs of people with cancer? A systematic review. Supportive Care in Cancer, 2009, 17(8), 1117–1128.[3] Richardson A, Medina J, Brown V, Sitzia J. Patients’ needs assessment in cancer care: a review of assessment tools. Support Care in Cancer ,2007, 15, 1125-1144. [4] Urbaniec OA, Collins K, Denson LA & Whitford HS. Gynecological cancer survivors, Assessment of psychological distress and unmet supportive care needs. Journal of Psychosocial Oncology,2011, 29(5), 534-551.[5] Ream E, Quennell A, Fincham L et al. Supportive care needs of men living with prostate cancer in England: a survey. British Journal of Cancer, 2008, 17, 98(12), 1903-9.[6] Ford E, Catt S, Chalmers A & Fallowfield L. Systematic review of supportive care needs in patients with primary malignant brain tumors. Neuro-Oncology, 2012, 14(4), 392-404.[7] Institute of Medicine. Cancer care for the whole patient: meeting psychosocial concerns. The National Academic Press, Washington DC,2008[8] Miller BE, Pittman B, Strong C. Gynecologic cancer patients’ psychosocial needs and their views on the physician’s role in meeting those needs. International Journal of Gynecological Cancer,2003, 13, 111-119.[9] National Comprehensive Cancer Network, 2012, Address: https://www.nccn.org/patients/resources/life_with_cancer/distress.aspx Retrieved November 1, 2019 [10] Giraldi T, De Vanna M, Malagoli M et al. Mental adaptation to cancer: depression and blood platelet monoamineoxidase activity in breast cancer patients. AnticancerResearch; 2007, May-Jun. 27 (3b). [11] Yıldırım KN, Kaçmaz N, Özkan M. İleri evre kanser hastalarının karşılanmamış gereksinimleri. Psikiyatri Hemşireliği Dergisi;2013, 4(3), 153-8.[12] National Cancer Nursing Education Project, 2015, Address:http://edcan.org.au/assets/edcan/files/cancer-care-coordinator-position-statement_final-endorsed-by-council_161115_cnsa-logo.pdf Retrieved October 29, 2019[13] Multionational association of supportive care in cancer Address:https://www.mascc.org/assets/GuidelinesTools/guidelines_mucositis_turkish.pdffile:///C:/Users/a/Downloads/23-1816-1-PB.pdf Retrieved October 29, 2019[14] Rankin NM, Barron JA, Lane LG, Mason CA, Sinclair S, Bishop JF Psychosocialoncologyservices in New South Wales. AustHealthRev, 2011, 35:156–163 [15] Gardner RB. A holistic assessment of the perceived supportive care needs of cancer patients during treatment. University of New Orleans Theses and Dissertation, 2008, Paper 823.[16] Howell D, Mayo S, Currie S, Jones G, Boyle M. et al. Psychosocial health care needs assessment of adult cancer patients: a consensus-based guideline. Support Care Cancer, 2012, 20(12), 3343-54.[17] Gregorio S, Porensky E, Minotti M, Brown S, Janet S. et al. The James supportive care screening: İntegrating science and practice to meet the NCCN guidelines for distress management at a comprehensive cancer center. Psychooncology ; 2013, 22(9), 1-17.[18] Cancer Australia, Clinical Best Practice Address:https://canceraustralia.gov.au/clinical-best-practice/cancer learning/communication-skills-training Retrieved October 29, 2019[19] Steele R, & Fitch M I. Supportive care needs of women with gynecologic cancer. Cancer Nursing,2008, 31(4), 284-291.[20] Maguire R, Papadopoulou C, Kotronoulas G, Simpson MF, McPhelim J, et al. A systematic review of supportive care needs of people living with lung cancer. European Journal of Oncology Nursing,2013, 17, 449-64.[21] Agecare, England Address: http://www.agecare.org/publications.asp Retrieved October 29, 2019[22] Polikandrioti M, Ntokou M. Needs of hospitalized patients. Health Scıence Journal, 2011,Volume 5, Issue 1, 15-22.[23] Işık I. Meme kanseri hastalarında tedavi sonrası dönemde gelişen psikososyal sorunlar ve destekleyici hemşirelik girişimleri, Hemşirelikte Eğitim Ve Araştırma Dergisi 2014;11 (3), 58-64.[24] Demirkol H, Çam MO . Kanser hastalarında James destekleyici bakım gereksinimlerini belirleme ölçeği’nin geçerlik ve güvenirlik çalışması, 2016, Ege Üniversitesi Sağlık Bilimleri Enstitüsü, Psikiyatri Hemşireliği Programı, Yüksek Lisans Tezi.[25] Miniotti M, Bassino S, Fanchini L, Ritorto G, & Leombruni P. Supportive care needs, quality of life and psychological morbidity of advanced colorectal cancer patients. European Journal of Oncology Nursing,2019, 43, 101668.[26] World Health Organization, Address: https://www.who.int/cancer/PRGlobocanFinal.pdf Retrieved October 29, 2019[27] Sobotko L. Klinik Nütrisyonun Temelleri Dördüncü Baskı (H.Gündoğdu Çev.Ed). Kanser hastalarında nütrisyonel destek ve kanser kaşeksisi. Ankara: Bayt Bilimsel Yayınlar, 2013:573-591.[28] Arends J, Bachmann P, Baracos V. ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017, 36:11-48. [29] Olsson C, Berglund AL, Larsson M, Athlin E. Patient’s sexuality – a neglected area of cancer nursing. European Journal of Oncology Nursing , 2012, 16, 426-31.[30] Moreira EDJ, Glasser DB, Gingell C.Sexual activity, sexual dysfunction and associated help-seeking behaviours in middle-aged and older adults in Spain: a population survey. World J Urol. 2005, 23: 422-429.[31] Pınar G. Kanser tedavisi alan hastalarda cinsel disfonksiyon ve danışmanlığa ilişkin hemşirelik yaklaşımları, Gülhane Tıp Derg. 2010, 52: 241-247. [32] Bernardes CM, Diaz A, Valery PC, Sabesan S, Baxi S. Unmet supportive care needs among Indigenous cancer patients across Australia. Rural and Remote Health; 2019, 19: 4660.[33] Ng R, Verkooijen HM, Ooi L L, & Koh WP. Unmet psychosocial needs among cancer patients undergoing ambulatory care in Singapore. Supportive Care in Cancer,2011, 20(5), 1049–1056. [34] Mawardika T, Afiyanti Y, Rahmah H. Gynecological cancer inpatients need more supportive nursing care than outpatients: a comparative study. BMC Nurs. 2019, 16;18(Suppl 1):28.[35] Hui D. Definition of supportive care: does the semantic matter? Curr. Opin. Oncol. 2014, 26, 372–379[36] Herschbach P, Book K, Brandl T. et al Psychological distress in cancer patients assessed with an expert rating scale. British Journal of Cancer, 2008, 99(1), 37-43.[37] Aranda S, Schofield P, Weih L. et al. Mapping the quality of life and unmet needs of urban women with metastatic breast cancer. Eur J Cancer Care (Engl),2005, 14:211-22.[38] Boyes AW, Girgis A, D'Este C, Zucca AC. Prevalence and correlates of cancer survivors' supportive care needs 6 months after diagnosis: a population-based crosssectional study. BMC Canc.2012, 12, 150.[39] Yi M, Park K, Park YE. Psychosocial needs of low-income people with cancer in Korea. European Journal of Oncology Nursing, 2014, 18, 549- 56.[40] Foster C, Wright D, Hill H, Hopkinson J, Roffe L. Psychosocial implications of living 5 years or more following a cancer diagnosis: a systematic review of the research evidence. Eur J Cancer Care ,2009, 18(3):223–47.[41] Mohammadzadeh Nimekari M, Saei Ghare Naz M, Ashouri Taziani Y. Correlation between Supportive Care Needs of Women with Breast Cancer and Quality of Life of their Family Caregivers. Int J Community Based Nurs Midwifery.2019, 7(4):300-308. [42] TC Sağlık Bakanlığı Tedavi Hizmetleri Genel Müdürlüğü. Türkiye Onkoloji Hizmetleri Yeniden Yapılanma Programı 2010- 2023. Ankara, T.C. Sağlık Bakanlığı, 2010[43] Braamse AM, van Turenhout ST, Terhaar Sive Droste JS. et al. Factors associated with anxiety and depressive symptoms in colorectal cancer survivors. Eur. J. Gastroenterol. Hepatol.2016, 28, 831–835
Toplam 1 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Dahili Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 21 Temmuz 2020 |
| Kabul Tarihi | 23 Haziran 2020 |
| Yayımlandığı Sayı | Yıl 2020 |